Provider Demographics
NPI:1457553422
Name:PIRKEY, TREY W (NP)
Entity Type:Individual
Prefix:DR
First Name:TREY
Middle Name:W
Last Name:PIRKEY
Suffix:
Gender:M
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:310 E HOSKINS ST
Mailing Address - Street 2:
Mailing Address - City:NEW BOSTON
Mailing Address - State:TX
Mailing Address - Zip Code:75570-2727
Mailing Address - Country:US
Mailing Address - Phone:903-628-7877
Mailing Address - Fax:903-628-7876
Practice Address - Street 1:310 E HOSKINS ST
Practice Address - Street 2:
Practice Address - City:NEW BOSTON
Practice Address - State:TX
Practice Address - Zip Code:75570-2727
Practice Address - Country:US
Practice Address - Phone:903-628-7877
Practice Address - Fax:903-628-7876
Is Sole Proprietor?:No
Enumeration Date:2007-06-01
Last Update Date:2018-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX660180363LF0000X, 207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX320199Medicare PIN